Factors To Consider When Deciding The Timing Of Covid
Timing in relation to other vaccines:
- There should be an interval of at least seven days between a dose of the COVID-19 vaccine and any other vaccine. This applies to both doses.
- This may affect the timing of the two vaccines medical professionals routinely recommend during pregnancy:
- Influenza vaccine, which can be given at any time.
- Whooping cough vaccine, which is ideally given between 20 and 32 weeks of pregnancy. The influenza and the whooping cough vaccines can be given together on the same day.
What Do We Know About How Covid
COVID-19 is potentially dangerous for all people. And while the actual risk of severe illness and death among pregnant individuals is low, it is higher when compared to nonpregnant individuals from the same age group. Those who are pregnant are at higher risk for being hospitalized in an intensive care unit and requiring a high level of care, including breathing support on a machine, and are at higher risk for dying if this happens.
If youre pregnant, you may also wonder about risks to the fetus if you get COVID-19. Research suggests that having COVID-19 might increase risk for premature birth, particularly for those with severe illness. So far, studies have not identified any birth defects associated with COVID-19. And while it is possible for the virus to spread from mother to baby during pregnancy, this is rare. Most often it is linked to having COVID infection two weeks before birth.
Is It Better To Get The Covid
Although you can get vaccinated against COVID-19 at any time before, during, or after your pregnancy, the sooner you get vaccinated, the sooner you are protected. The safer you are, the safer your baby is.
There have been reports of some women waiting until they are pregnant before getting vaccinated against COVID-19, in the hope of better protecting their baby by passing on antibodies to them.
While there is some early evidence that COVID-19 antibodies pass into the breastmilk and cord blood of vaccinated mothers, which may offer some protection to the baby , this has not yet been studied in depth and the levels of protection are currently unknown.
According to the Centres for Disease Control and Prevention in America: Vaccination of pregnant people builds antibodies that might protect their baby. When pregnant people receive an mRNA COVID-19 vaccine during pregnancy, their bodies build antibodies against COVID-19, similar to non-pregnant people. Antibodies made after a pregnant person received an mRNA COVID-19 vaccine were found in umbilical cord blood. This means COVID-19 vaccination during pregnancy might help protect babies against COVID-19. More data are needed to determine how these antibodies, similar to those produced with other vaccines, may provide protection to the baby.
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Are The Vaccines Safe For People Who Are Pregnant
Evidence on the safety and effectiveness of COVID-19 vaccines during pregnancy is growing, according to the CDC. A new report on early data from safety monitoring systems that gather information on people who were pregnant when vaccinated and their babies finds no concerns about safety. Another report based on people enrolled in the v-safe COVID-19 Pregnancy Registry who received COVID-19 vaccines before 20 weeks of pregnancy notes no increased risk for miscarriage.
The CDC continues to follow people vaccinated during different trimesters of pregnancy to better understand effects on pregnancy and babies.
Important points about mRNA vaccines
- When studied during animal tests, the mRNA vaccines did not affect fertility or cause any problems with pregnancy.
- In humans, we know that other kinds of vaccines generally are safe for use in pregnancy in fact, many are recommended.
- mRNA vaccines do not contain any virus particles.
- mRNA particles used in the vaccine are eliminated by our bodies within hours or days, so these particles are unlikely to reach or cross the placenta.
- The immunity that a pregnant person generates from COVID-19 vaccination can cross the placenta, and may help keep the baby safe after birth.
Important points about the Johnson & Johnson vaccine
Euronews: How Can We Avoid Vaccine Misinformation
Dr Mosina: Vaccine misinformation can have negative effects on peoples decisions to get vaccinated.
It is crucially important that not just pregnant women but everybody have access to trusted and evidence-based information.
The role of health authorities, immunisation experts and health agencies in providing this information is crucial. Media also has a major role to play in this. It’s extremely important that journalists get the information from reliable sources and help deliver it.
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‘it Was The Best Decision I Could Have Made’
I received my first dose of the Pfizer vaccine in early March, the second dose at the end of March, and I had my son at the end of April .
I was always a strong proponent of getting the vaccine while pregnant, but once my OB/GYN said to get it, I booked my appointment. She told me that getting COVID while pregnant was definitely riskier than the vaccine. I also made my immediate family get the vaccine the second they were eligible to protect them and to protect me while pregnant. They were so thrilled once I got the vaccine. I had very few side effectsa sore arm for sure and extra tiredness, but that was the extent of it.
I would not look back with a second of regret on receiving it while pregnant. It was the best decision I could have madenot only to ease my anxiousness but also because it potentially passed on my antibodies to my baby. After I received it, I tried to share my experience with as many pregnant friends as possible, encouraging them to get the vaccine. I think it’s so important for people to be informed, especially while pregnant. Juliette Caspi, Philadelphia, PA: Vaccinated at 8 months pregnant
What Have Studies Found Regarding Fertility
Among other research, a study published in January by the Boston School of Public Health found that fertility of women and men was not harmed by Covid-19 vaccination.
In the research, published in the American Journal of Epidemiology, scientists found that being given the Pfizer-BioNTech, Moderna or Johnson & Johnson vaccines did not affect the chance of conception.
According to Prof Jones, suggestions that fertility may be affected by vaccination is anti-vax stuff that circulates on chat boards, but doesnt have any validity at all.
While there is no evidence that vaccination reduces fertility, the same study indicated that Covid-19 infection may temporarily reduce fertility in men.
A reduction in fertility was found only in men who had tested positive within the previous 60 days, but not in those who had had an earlier infection, indicating that the effect is not permanent.
Previous studies also indicated that contracting Covid-19 could negatively affect male fertility.
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Euronews: What Are The Dangers For Pregnant Women And The Fetus Contracting Covid
Dr Mosina: We know that pregnant women are at higher risk of severe COVID-19 diseases than women in reproductive age who are not pregnant. We have seen multiple evidence that proves this.
Pregnant women face a higher risk of admission into intensive care units if they get COVID-19 or can be at a higher risk of invasive ventilation.
COVID-19 in pregnancy also poses a risk for babies. Pregnant women who get COVID-19 during the pregnancy have a higher risk of premature delivery and their children are at a higher risk of needing intensive care. These are facts that we know today.
Can I Get The Vaccine If Im Pregnant And Have Allergies
Dr. Leis: For the most part, people with allergies can receive the vaccine. There are two exceptions:
- People who have had an allergic reaction to polyethylene glycol, or PEG. PEG is a component in the vaccine that can elicit an allergy response. It is a very rare allergy, but it is important that people who have this allergy do not receive the vaccine.
- Anyone who has had a reaction to the first dose of the vaccine should not receive the second dose.
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Pregnancy And Getting A Covid
You should get vaccinated to protect yourself from serious illness with COVID-19 if you are:
- trying for a baby or might get pregnant in the future
You should also get a booster dose. You need to wait 3 months after your first round of vaccination before you can get a booster.
A booster dose is the extra dose of COVID-19 vaccine used to give better protection to people who have already had their first round of COVID-19 vaccination.
Booster vaccines are currently only available to people aged 16 or older.
First round of COVID-19 vaccination
When we say first round of COVID-19 vaccination we mean your dose 1 and dose 2 if you got AstraZeneca, Moderna or Pfizer. Or your single dose if you got the Janssen vaccine.
If you have a weak immune system, you should have been offered an additional dose to give you better protection. This is because your immune system may not respond as well to vaccination. You will still need a booster dose after this additional dose.
‘vaccine Side Effects Were The Least Of My Worries’
My baby was due May 2, and I had my first dose of the Pfizer vaccine on April 26. I was very fearful of COVID-19. When everyone started to get vaccinated, I kept asking my doctor, ‘Are you sure I shouldn’t get vaccinated?’ He said that he didn’t want me to because there weren’t enough studies yet. Then there was a study that came out showing that mothers who got the vaccine passed those antibodies on to their babies, and I decided I was going to get it.
I called my doctor and basically begged for his blessing. Finally, he gave it, so I got the shot. I didn’t have any side effects, but honestly, it would be hard to tell if I did because I was so pregnant and uncomfortable. I also had pubic symphysis dysfunction, which is like the equivalent of your pubic bone breaking. So vaccine side effects were the least of my worries.
I was supposed to get my second dose the day before I was scheduled to be induced, but in that case, I did listen to my doctors, who wanted me to delay the shot until post-delivery. My doctors were worried they wouldn’t be able to tell if my fever was due to the vaccine or a problem with the baby. But I delivered on a Monday and got the second shot on that Friday.
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Vaccines Could Attack The Placenta
A widely shared petition from Michael Yeadon, a scientific researcher who has made other misleading statements about Covid, claimed the coronavirus’s spike protein contained within the Pfizer and Moderna vaccines was similar to a protein called syncytin-1, involved in forming the placenta.
He speculated that this might cause antibodies against the virus to attack a developing pregnancy, too.
Some experts believe this was the origin of the whole belief that Covid vaccines might harm fertility.
In fact syncytin-1 and the coronavirus’s spike protein are just about as similar as any two random proteins so there is no real reason to believe the body might confuse them.
But now evidence has been gathered to help disprove his theory.
US fertility doctor Randy Morris, who wanted to respond directly to the concerns he’d heard, began monitoring his patients who were undergoing IVF treatment to see whether vaccination made any difference to their chances of a successful pregnancy.
Out of 143 people in Dr Morris’s study, vaccinated, unvaccinated and previously infected women were about equally likely to have a successful embryo implantation and for the pregnancy to continue to term. The women were similar in most other respects.
The study is small, but it adds to a large volume of other evidence – and were the claim true, you would expect that to show up even in a study of this size.
How Does The Vaccine Work
The vaccine works by sending a message to the body with a blueprint, allowing it to manufacture a small, harmless fragment of the coronavirus’s distinctive “spike”.
This prompts your immune system to kick into action, producing antibodies and white blood cells to fight off the virus – and recognising it if you encounter it again.
It can’t give you the virus, and it has no way of affecting your own genetic information.
These “messenger particles” are extremely short-lived: they deliver their message and then they are destroyed. That’s why the Pfizer vaccine in particular has to be stored so carefully – the genetic material it contains falls apart and becomes useless very easily.
Prof Nicola Stonehouse, a virologist at the University of Leeds, said there was no possible way she could think of that this could have an impact on reproductive health.
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Do Covid Vaccines Affect Pregnancy Fertility Or Periods We Asked The World Health Organization
Misinformation about the impact of COVID-19 vaccines on pregnant people and how it may affect fertility and menstruation have spread like wildfire, triggering warnings from health professionals that not enough pregnant women are getting jabbed.
But studies have yet to link any vaccine-related problems with pregnancy and foetal development, or menstrual cycles and fertility in women or men. In fact, studies and experts say it is more dangerous not to get the vaccine.
The latest data from the Centers for Disease Control and Prevention in the United States concluded that COVID-19 vaccines are well-tolerated by people who are pregnant, planning a pregnancy or lactating, further suggesting the benefits of having the vaccine far outweighs the risks.
The CDC study is one of the largest of its kind and drew data from a survey of more than 17,000 individuals.
To understand the data behind various studies and to get the facts, Euronews Next spoke to Dr Liudmila Mosina, Technical Specialist on Vaccine-preventable Diseases and Immunization at the World Health Organization regional office for Europe.
Can Breastfeeding Protect My Baby From Getting Covid
Breastmilk provides protection against many illnesses. This also seems to be true for COVID-19.
- An NIH-supported study found that when a pregnant person has antibodies against SARS-CoV-2 after being vaccinated or having COVID-19, those antibodies may be transferred to the baby through breastmilk. The antibodies help babies gain immunity that can protect them from COVID-19.
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Im Pregnant Once Its Available To Me Can And Should I Receive The Covid
Dr. Zaltz: Yes, you will be able to receive the COVID-19 vaccine in Ontario. The Ontario Ministry of Health has stated that people who are pregnant may choose to receive the vaccine after informed counselling and consent. The first step is to speak with your obstetrician, midwife or family doctor. They will review the risks and benefits of COVID-19 vaccination to help you decide what is right for you. You will be required, at the time of vaccination, to attest that you have had this discussion with your primary care provider or specialist.
Euronews: Why Did The Who Change Its Recommendations For Pregnant Women
Dr Mosina: Public health recommendations are continuously changing as new, strong evidence is brought to light.
When the first COVID-19 vaccines became available, WHO experts recommended vaccinating pregnant women who were at high risk of acquiring the disease, i.e. healthcare workers in contact with COVID-19 patients. Back then, we did not have enough data on the safety and efficacy of the vaccination for pregnant women as they were not part of initial clinical trials.
Now we have more evidence on increased risk of severe COVID-19 outcomes in pregnant women. The real-life data from vaccine safety monitoring did not reveal any additional safety signals.
Data from post-introduction studies on mRNA vaccines suggest that vaccination of pregnant women leads to development of protective antibodies and reduces their risk of COVID-19 infection. These new data allowed WHO to update recommendations on vaccinating this group.
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Can I Have A Covid
If you’re trying for a baby, there is nothing in the current UK government guidance to say that you shouldn’t have a COVID-19 vaccine. The guidance also says that, once you have had a vaccine, there is no reason to avoid becoming pregnant afterwards.
Theres currently no evidence to suggest that COVID-19 vaccines could affect male or female fertility. The Royal College of Midwives and Royal College of Gynaecologists have said there is not a plausible way in which there could be an effect.
The Association of Reproductive and Clinical Scientists and the British Fertility Society have stated similarly. They advise that you can still have a COVID-19 vaccine while having fertility treatment such as IVF.